MD Corey Dewitt, NPI 1417342890
MOHS-Micrographic Surgery Physician in Leesburg, VA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1417342890
NPI Entity Type Individual
Provider Name MD Corey Dewitt
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 19465 Deerfield Avenue, Suite 401, Leesburg, VA, US
Provider Mailing Address 224-d Cornwall Street, Nw, Suite 403, Leesburg, VA, US, 201762704
Gender Male
Is Sole Proprietor? Yes
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Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.
Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207ND0101X

Taxonomy Name MOHS-Micrographic Surgery Physician
Classification

Dermatology

Group

Allopathic & Osteopathic Physicians

License No. 0101275415
License State VA
Description The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Business Address

MD Corey Dewitt
19465 Deerfield Avenue, Suite 401

Leesburg, VA, US

Phone: 703-723-5700
Fax: 703-723-5778

Mailing Address

MD Corey Dewitt
224-d Cornwall Street, Nw, Suite 403
Leesburg, VA, US
ZIP 201762704
Phone: 703-737-6010
Fax: 703-433-8643

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207N00000X

Allopathic & Osteopathic Physicians

Dermatology

MD23389 ME No

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